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The temporal order of emotional, cognitive, and behavioral gains in daily life during treatment of depression. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-05-23 Evelien Snippe,Timon Elmer,Eva Ceulemans,Arnout C Smit,Wolfgang Lutz,Marieke A Helmich
OBJECTIVE Despite the importance for understanding mechanisms of change, little is known about the order of change in daily life emotions, cognitions, and behaviors during treatment of depression. This study examined the within-person temporal order of emotional, cognitive, and behavioral improvements using ecological momentary assessment data. METHOD Thirty-two individuals with diagnosed depression
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Disruptive child behavior severity and parenting program session attendance: Individual participant data meta-analysis. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-05-23 G J Melendez-Torres,Patty Leijten,Stephen Scott,Frances Gardner,Nick Axford,Maria João Seabra Santos,Ankie Menting,Judy Hutchings,Vashti Berry
OBJECTIVE We tested if baseline disruptive child behavior problem severity predicts parental attendance at sessions of a parenting group program. METHOD We used a database of randomized trials of the Incredible Years parenting program in Europe and restricted the sample to participants randomized to the intervention arm. Using baseline Eyberg Child Behavior Inventory scores, we distinguished between
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Location-scale modeling as an integrative approach to symptom dynamics during psychotherapy: An illustration with depressive symptoms. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-05-23 Annette Brose,Peter Koval,Manuel Heinrich,Pavle Zagorscak,Johannes Bohn,Christine Knaevelsrud
OBJECTIVE Depressive symptom dynamics, including change trajectories and symptom variability, have been related to therapy outcomes. However, such dynamics have often been examined separately and related to outcomes of interest using two-step analyses, which are characterized by several limitations. Here, we show how to overcome these limitations using location-scale models in a dynamic structural
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Advancing a mission of translational intervention science: Comment on premature implementation. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-05-01 Rinad S Beidas,Lisa Saldana,Rachel C Shelton
Replies to comments made by Kenneth E. Freedland et al. (see record 2024-89430-002) on Rinad S. Beida, Lisa Saldana, and Rachel C. Shelton's original article (see record 2023-46817-001). In reading Freedland et al.'s (2024) commentary, it appears that their lens prioritizes internal validity and more explanatory and mechanistic work. While we also value these scientific goals and concur that the approaches
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Testing psychosocial interventions in context: Commentary on Beidas et al. (2023). Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-05-01 Kenneth E Freedland,Lynda H Powell,Susan M Czajkowski,Leonard H Epstein
In their recent Viewpoint article, Beidas et al. (2023) argue that researchers should test psychosocial interventions in the contexts in which they are meant to be delivered and that they can accelerate the deployment of these interventions by advancing directly from pilot trials to effectiveness and implementation studies without conducting efficacy trials. In this commentary, we argue that this is
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Dose-response relationship in cognitive behavioral therapy for depression: A nonlinear metaregression analysis. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-05-01 Thomas Klein,Johanna Breilmann,Carolin Schneider,Francesca Girlanda,Ines Fiedler,Sarah Dawson,Alessio Crippa,Stefan Priebe,Corrado Barbui,Thomas Becker,Markus Kösters
OBJECTIVE Evidence on the optimal "dose" of cognitive behavioral therapy (CBT) for treating major depressive disorder is sparse. This analysis aimed to evaluate the dose-response curve in CBT using a nonlinear approach, whereby "dose" was defined as number of treatment sessions. The dose-response curve of CBT was compared to other psychotherapies and pharmacological treatments for depression. METHOD
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Cognitive and interpersonal moderators of two evidence-based depression prevention programs. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-04-18 Jason D Jones,Karen T G Schwartz,Molly Davis,Robert Gallop,Benjamin L Hankin,Jami F Young
OBJECTIVE To test potential cognitive and interpersonal moderators of two evidence-based youth depression prevention programs. METHOD Two hundred four adolescents (Mage = 14.62 years, SD = 1.65; 56% female; 71% White, 11% Black, 11% multiracial, 5% Asian, 2% other races, 18% Hispanic/Latinx) were randomized to either a cognitive-behavioral (Coping With Stress [CWS]) or interpersonal (Interpersonal
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Family engagement in a behavioral parenting intervention: A randomized comparison of telehealth versus office-based treatment formats. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-04-15 Amanda L Sanchez,Natalie Javadi,Jonathan S Comer
OBJECTIVE Despite effective treatment options, many families-especially those from marginalized backgrounds-lack access to quality care for their children's behavioral difficulties. Since the COVID-19 pandemic, telehealth has become a prominent format for the delivery of outpatient services, with potential to increase access to quality care. Although telehealth-delivered parenting interventions are
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Grief-focused cognitive behavioral therapies for prolonged grief symptoms: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-04-01 Katrine B Komischke-Konnerup,Robert Zachariae,Paul A Boelen,Madeline Marie Marello,Maja O'Connor
BACKGROUND Studies suggest that cognitive behavioral therapies (CBTs) may be efficacious in reducing symptoms of prolonged grief disorder (PGD), but no comprehensive overview and pooled estimate of CBTs' effect on PGD in adulthood exist. We conducted a systematic review and meta-analysis of randomized controlled trials. METHOD Studies were selected independently by two researchers based on a systematic
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Peak experiences during insight mindfulness meditation retreats and their salutary and adverse impact: A prospective matched-controlled intervention study. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-04-01 Yuval Hadash,Tatyana Veksler,Omer Dar,Romi Oren-Schwartz,Amit Bernstein
OBJECTIVE We sought to address a growing debate regarding the adverse and salutary impact of unusual, extraordinary or intense subjective experiences during meditation-based interventions. To do so, we empirically characterized such peak experiences during an intensive meditation intervention and their impact postintervention. METHOD We conducted a preregistered prospective intervention study among
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Multiculturalism: A paradigmatic force in psychology. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-04-01 Lillian Comas-Diaz
Prior to the advent of multiculturalism, mainstream psychology mirrored the Euro-American culture. In contrast, multiculturalism acts as a prism that reveals the diversity in the human condition. Since most empirical research is still conducted on Western, educated, industrialized, rich, and democratic populations, we need to construct a representative map of the human psychological and behavioral
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Session-level effects of cognitive processing therapy and prolonged exposure on individual symptoms of posttraumatic stress disorder among U.S. veterans. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-03-28 Samantha J Moshier,Colin T Mahoney,Michelle J Bovin,Brian P Marx,Paula P Schnurr
OBJECTIVE To compare the course of change in individual posttraumatic stress disorder (PTSD) symptoms during prolonged exposure therapy (PE) and cognitive processing therapy (CPT). METHOD We analyzed data from a previously published randomized clinical trial comparing PE and CPT among male and female U.S. military veterans with PTSD (Schnurr et al., 2022). Using data from a self-rated PTSD symptom
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Monitoring emotional intensity and variability to forecast depression recurrence in real time in remitted adults. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-03-21 Marieke J Schreuder,Evelien Schat,Arnout C Smit,Evelien Snippe,Eva Ceulemans
OBJECTIVE Recurrent depressive episodes are preceded by changing mean levels of repeatedly assessed emotions (e.g., feeling restless), which can be detected in real time using statistical process control (SPC). This study investigated whether monitoring changes in the standard deviation (SD) of emotions and negative thinking improves the early detection of recurrent depression. METHOD Formerly depressed
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Parent-child emotion dynamics in families presenting for behavioral parent training: Is there a link with child behavior, parenting, and treatment outcome? Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-03-21 Melanie S Fischer,Raelyn Loiselle,Danielle M Weber,April Highlander,Madison P McCall,Grace H Cain,Rex Forehand,Deborah J Jones
OBJECTIVE Behavioral parent training (BPT) is the standard of care for early onset behavior disorders (BDs), however, not all families benefit. Emotion regulation (ER) is one potential mechanism underlying BPT outcomes, yet there are challenges in capturing intra- and interpersonal aspects of emotion regulation within parent-child interactions that are central to BPT. This study examined how vocally
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A controlled trial of adaptive disclosure-enhanced to improve functioning and treat posttraumatic stress disorder. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-03-01 Brett T Litz,Julie Yeterian,Danielle Berke,Ariel J Lang,Matt J Gray,Tasha Nienow,Sheila Frankfurt,Jeanette Irene Harris,Shira Maguen,Luke Rusowicz-Orazem
OBJECTIVE This is a randomized controlled trial (NCT03056157) of an enhanced adaptive disclosure (AD) psychotherapy compared to present-centered therapy (PCT; each 12 sessions) in 174 veterans with posttraumatic stress disorder (PTSD) related to traumatic loss (TL) and moral injury (MI). AD employs different strategies for different trauma types. AD-Enhanced (AD-E) uses letter writing (e.g., to the
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For whom are treatments for criminal recidivism effective? Moderator effects from a randomized controlled trial of justice-involved veterans. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-02-01 Daniel M Blonigen,Kathryn S Macia,Michael A Cucciare,David Smelson
OBJECTIVE In a recent trial, moral reconation therapy (MRT)-a cognitive-behavioral intervention for criminal recidivism-was not more effective than usual care (UC) for veterans in behavioral health treatment. To determine for whom treatments of recidivism are most effective, we tested if recency of criminal history or psychopathic traits moderated MRT's effects on outcomes. METHOD In a multisite trial
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A group-based transdiagnostic sleep and circadian treatment for major depressive disorder: A randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-01-25 Anneko Yuen-Yum Yau,Ka-Yan Ng,Wing-Yin Lau,Chun-Yin Poon,Wing-Fai Yeung,Ka-Fai Chung,Christian S Chan,Allison G Harvey,Fiona Yan-Yee Ho
OBJECTIVE Sleep and circadian disturbance is highly comorbid with a range of psychological disorders, especially major depressive disorder (MDD). In view of the complexity of sleep and circadian problems in MDD, this study aimed to evaluate the efficacy of a group-based transdiagnostic intervention for sleep and circadian dysfunction (TranS-C) for improving depressive symptoms and sleep and circadian
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Treatment credibility as a mechanism of change in cognitive behavioral therapy: Effects on depression and anxiety. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-01-22 Robin Anno Wester,Brian Schwartz,Wolfgang Lutz,Mila Hall,Thekla Hoos,Julian Rubel
OBJECTIVE This study aimed to provide evidence for treatment credibility (TC) as a potential mechanism of change in cognitive behavioral therapy (CBT). Therefore, it focused on within-person effects that are free of the influence of stable characteristics and thus allow to exclude certain alternative explanations for the association under study. METHOD The sample included 1,423 patients receiving outpatient
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A home-based telehealth randomized controlled trial of skills training in affective and interpersonal regulation versus present-centered therapy for women veterans who have experienced military sexual trauma. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-01-15 Marylene Cloitre,Danielle Morabito,Kathryn Macia,Sarah Speicher,Jessilyn Froelich,Katelyn Webster,Annabel Prins,Diana Villasenor,Asha Bauer,Christie Jackson,Laura Fabricant,Shannon Wiltsey-Stirman,Leslie Morland
OBJECTIVE This randomized trial tested the effectiveness of Skills Training in Affective and Interpersonal Regulation (STAIR) compared to present-centered therapy (PCT) delivered virtually to women veterans who had experienced military sexual trauma (MST) and screened positive for posttraumatic stress disorder (PTSD). METHOD One hundred sixty-one eligible women veterans were randomized into the study
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Examining strength at home couples to prevent intimate partner violence on a military installation: A randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2024-01-11 Casey T Taft,Emily F Rothman,Matthew W Gallagher,Evelyn G Hamilton,Anissa Garza,Suzannah K Creech
OBJECTIVES In this study, the effectiveness of a couples-based group intervention to prevent intimate partner violence (IPV), Strength at Home Couples (SAH-C), was examined on a military installation relative to a comparison intervention, Supportive Prevention (SP). It was expected that greater reductions in use of physical, psychological, and sexual IPV behaviors, as well as reduced suicidality, would
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Predicting effects of a digital stress intervention for patients with depressive symptoms: Development and validation of meta-analytic prognostic models using individual participant data. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-12-21 Mathias Harrer,Harald Baumeister,Pim Cuijpers,Elena Heber,Dirk Lehr,Ronald C Kessler,David Daniel Ebert
OBJECTIVE Digital stress interventions could be helpful as an "indirect" treatment for depression, but it remains unclear for whom this is a viable option. In this study, we developed models predicting individualized benefits of a digital stress intervention on depressive symptoms at 6-month follow-up. METHOD Data of N = 1,525 patients with depressive symptoms (Center for Epidemiological Studies' Depression
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Changes in positive and negative affect in psychotherapy for depression and anxiety. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-12-21 Nora M Barnes-Horowitz,Allison Metts,David Rosenfield,Julia S Yarrington,Michael Treanor,Aileen Echiverri-Cohen,Thomas Ritz,Alicia E Meuret,Michelle G Craske
OBJECTIVE Positive and negative affect play critical roles in depression and anxiety treatment, but the dynamic processes of how affect changes over treatment in relation to changes in symptoms is unclear. The study goal was to examine relationships among changes in positive and negative affect with changes in depression and anxiety symptoms. METHOD This secondary analysis used a combined sample (N
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The availability of dialectical behavior therapy in partial hospitalization and residential services for borderline personality disorder: An exploratory longitudinal study of the National Mental Health Services Survey from 2014 to 2021. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-12-07 Daniel S Spina,Kenneth N Levy
OBJECTIVE Treatment guidelines on borderline personality disorder (BPD) recommend day-hospital or residential treatments for patients with BPD who cannot tolerate outpatient treatment (American Psychiatric Association, 2010; National Health & Medical Research Council, 2013). However, the current literature suggests that evidence-based treatment for BPD may be difficult to access (Lohman et al., 2017)
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Identifying who benefits most from supportive versus expressive techniques in psychotherapy for depression: Moderators of within- versus between-individual effects. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-12-07 Sigal Zilcha-Mano,Christian A Webb
OBJECTIVE A recent randomized controlled trial (RCT) indicated that individuals with higher levels of attachment anxiety exhibited better treatment outcomes in supportive-expressive therapy (SET) relative to supportive therapy (ST). But to gain insight into within-patient therapeutic changes, a within-individual design is required. The present study contrasts previous findings based on theory-driven
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Randomized trial of parent-child interaction therapy improves child-welfare parents' behavior, self-regulation, and self-perceptions. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-12-07 Elizabeth A Skowron,Akhila K Nekkanti,Amanda M Skoranski,Carolyn M Scholtes,Emma R Lyons,Kathryn L Mills,David Bard,Alexus Rock,Elliot Berkman,Elizabeth Bard,Beverly W Funderburk
OBJECTIVE We conducted a large (N = 204) randomized, clinical trial to test the efficacy of parent-child interaction therapy (PCIT) on observed parenting, two key drivers of maladaptive parenting-self-regulation and social cognitions, and child behavior outcomes in a sample of child welfare-involved families. METHOD Participants were randomly assigned to standard PCIT (n = 120) or services-as-usual
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How does emotion regulation change during psychotherapy? A daily diary study of adults in a transdiagnostic partial hospitalization program. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-12-01 Fallon R Goodman,Andrew D Peckham,Elizabeth T Kneeland,Alexandria M Choate,Katharine E Daniel,Courtney Beard,Thröstur Björgvinsson
OBJECTIVE Improvement in emotion regulation is a proposed transdiagnostic mechanism of change. However, treatment research is limited by disorder-specific investigations that assess a narrow number of emotion regulation strategies. Moreover, most assess pre-to-post-treatment change without examining short-term changes throughout psychotherapy that might influence treatment response. METHOD To address
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Bridging the gap: Utilizing insights from exposure therapy in the innovation of chronic musculoskeletal pain treatment. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-12-01 Katherine McDermott,Francis Keefe,Ana-Maria Vranceanu
For some time, the gold standard treatment for anxiety disorders has been exposure therapy, defined as the repeated approach of anxiety-inducing situations, memories, or physiological sensations. Existing treatments to target fear and avoidance of pain can be augmented by innovations from exposure research in the anxiety disorders, including greater emphasis on safety learning, the utilization of imaginal
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A randomized trial of two group-delivered transdiagnostic eating disorder treatments: Dissonance-based treatment versus interpersonal psychotherapy. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-12-01 Eric Stice,Paul Rohde,Sonja Yokum,Jeff M Gau,Cara Bohon,Heather Shaw
OBJECTIVE Test whether a group-delivered dissonance-based transdiagnostic eating disorder treatment, Body Project Treatment (BPT), produces greater reductions in eating disorder symptoms and higher abstinence from eating disorder behaviors and remittance from eating disorder diagnoses than group-delivered transdiagnostic interpersonal psychotherapy (IPT). METHOD Women with a range of eating disorders
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Internet-delivered cognitive behavior therapy versus treatment as usual for anxiety and depression among Latin American university students: A randomized clinical trial. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-12-01 Corina Benjet,Yesica Albor,Libia Alvis-Barranco,Carlos C Contreras-Ibáñez,Gina Cuartas,Lorena Cudris-Torres,Noé González,Jacqueline Cortés-Morelos,Raúl A Gutierrez-Garcia,Maria Elena Medina-Mora,Pamela Patiño,Eunice Vargas-Contreras,Pim Cuijpers,Sarah M Gildea,Alan E Kazdin,Chris J Kennedy,Alex Luedtke,Nancy A Sampson,Maria V Petukhova,Nur Hani Zainal,Ronald C Kessler
OBJECTIVE Untreated mental disorders are important among low- and middle-income country (LMIC) university students in Latin America, where barriers to treatment are high. Scalable interventions are needed. This study compared transdiagnostic self-guided and guided internet-delivered cognitive behavioral therapy (i-CBT) with treatment as usual (TAU) for clinically significant anxiety and depression
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Can session-by-session changes in self-reported alliance scores serve as a measure of ruptures in the therapeutic alliance? Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-11-27 Anna Babl,Julian Rubel,Juan Martín Gómez Penedo,Thomas Berger,Martin Grosse Holtforth,Catherine F Eubanks
OBJECTIVE During treatment, the therapeutic alliance is characterized by rupture and repair episodes, which in turn are associated with psychotherapy outcome. It would be important to have a parsimonious tool to identify ruptures in psychotherapy sessions to provide therapists with meaningful feedback about when they occur. The present study thus aims to establish whether measuring self-reported alliance
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Optimizing treatment expectations and decision making through informed consent for psychotherapy: A randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-11-16 Leonie Gerke,Franz Pauls,Sönke Ladwig,Sarah Liebherz,Klaus Michael Reininger,Levente Kriston,Manuel Trachsel,Martin Härter,Yvonne Nestoriuc
OBJECTIVE The objective of this research was to determine the efficacy and safety of an optimized informed consent (OIC) consultation for psychotherapy. METHOD We performed a randomized controlled superiority online trial involving 2 weeks of treatment and 3 months of follow-up. One hundred twenty-two adults with mental disorders confirmed by structured interview currently neither in out- nor inpatient
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Within-patient association between emotion regulation and outcome in prolonged exposure for posttraumatic stress disorder. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-11-16 Alice E Coyne,Elsa Mattson,Jenna M Bagley,Alexandra B Klein,Kathy Shekhtman,Sinan Payat,Daniella S Levine,Norah C Feeny,Lori A Zoellner
OBJECTIVE Difficulties with emotion regulation (ER) are a risk factor for the development and maintenance of posttraumatic stress disorder (PTSD). Less is known about temporal relations between ER and PTSD symptom change during treatment, including whether ER may represent a more potent change ingredient for some patients relative to others. This study examined the association between within-patient
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Democratizing access to psychological therapies: Innovations and the role of psychologists. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-11-01 Daisy R Singla,Jessica L Schleider,Vikram Patel
Psychological therapies are highly effective interventions for a range of mental health conditions and often preferred by many patients over medication. Unfortunately, most people who could benefit from these therapies do not receive them. This is true even in the United States, which enjoys relatively high numbers of mental health professionals. The lack of access is further compounded by structural
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Psychotherapies for the treatment of borderline personality disorder: A systematic review. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-10-30 Karen Crotty,Meera Viswanathan,Sara Kennedy,Mark J Edlund,Rania Ali,Mariam Siddiqui,Roberta Wines,Piotr Ratajczak,Gerald Gartlehner
OBJECTIVE Borderline personality disorder (BPD) is the most common personality disorder, affecting 1.8% of the general population, 10% of psychiatric outpatients, and 15%-25% of psychiatric inpatients. Practice guidelines recommend psychotherapies as first-line treatments. However, psychotherapies commonly used for the treatment of BPD are numerous, and little is known about the comparative effectiveness
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Predictors of treatment outcome in cognitive behavioral therapy for intermittent explosive disorder: A preliminary analysis. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-10-19 Nicole K Ciesinski,Martha K Zajac,Michael S McCloskey
OBJECTIVE The present study examined potential treatment outcome predictors of a multicomponent cognitive behavioral intervention for intermittent explosive disorder (IED). METHOD The sample (n = 64; 22 female) consisted of individuals with a current diagnosis of IED that completed treatment across three study trials. Treatment outcome predictors assessed included demographic variables, psychiatric
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Clinical science and practice in the age of large language models and generative artificial intelligence. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-10-01 Stephen M Schueller,Robert R Morris
In this article, Schueller and Morris discuss the recent advances made from large language models (LLMs) and generative artificial intelligence (AI). These advances include supporting humans to provide better interventions, understanding processes in clinical interventions, and providing ethical considerations for the use of generative AI in clinical research and practice. (PsycInfo Database Record
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Predictors of mental health outcomes of three refugee groups in an advocacy-based intervention: A precision medicine perspective. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-09-28 Meredith A Blackwell,Jessica R Goodkind,Elizabeth A Yeater,M Lee Van Horn
OBJECTIVE Precision medicine is an area with great potential for mental health, but has made limited gains prognostically in predicting effective treatments. For refugees exposed to violence, culture may be a crucial factor in predicting treatment outcomes. METHOD For this study, 290 participants from three regions (Afghanistan, the Great Lakes region of Africa, and Iraq and Syria) participated in
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Randomized controlled trial of a web-based program for preventing anxiety and depression in university students. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-09-28 Leslie R Rith-Najarian,Elizabeth Gong-Guy,John C Flournoy,Denise A Chavira
OBJECTIVE Few online interventions targeting anxiety and depression in university students are designed for universal delivery, and none for group-level delivery. This randomized controlled trial (NCT No. 04361045) examined the effectiveness of such a prevention program. METHOD StriveWeekly is a web-based intervention designed with weekly self-guided skill modules (e.g., behavioral activation) that
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Revealing subgroup-specific mechanisms of change via moderated mediation: A meditation intervention example. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-09-28 Christian A Webb,Matthew J Hirshberg,Oscar Gonzalez,Richard J Davidson,Simon B Goldberg
OBJECTIVE Effective psychosocial interventions exist for numerous mental health conditions. However, despite decades of research, limited progress has been made in clarifying the mechanisms that account for their beneficial effects. We know that many treatments work, but we know relatively little about why they work. Mechanisms of change may be obscured due to prior research collapsing across heterogeneous
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Intervention format and therapist-child agreement associated with therapeutic alliance and outcomes. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-09-28 John E Lochman,Robert D Laird,Heather L McDaniel,Caroline L Boxmeyer,Summer S Braun,Nicole P Powell,Lixin Qu
OBJECTIVE The study examined the effects of therapeutic alliance (TA; relational bond, task collaboration) on externalizing behavior outcomes, how TA can operate differently when children are seen in individual versus group sessions, and how therapist-child disagreement in perceptions of TA affects outcomes. METHOD Three hundred sixty children (Ages 9.2-11.8; 65% male; 78.1% Black) identified as having
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Emotional and cognitive processes in psychotherapy are associated with different aspects of the therapeutic relationship. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-09-28 Ingvild Finsrud,Helene A Nissen-Lie,Pål G Ulvenes,KariAnne Vrabel,Linne Melsom,Bruce Wampold
OBJECTIVE In this naturalistic study we aimed to investigate the relationships between two central change processes (affective and cognitive) and two common relationship factors ("Confidence in the therapist" and "Confidence in the treatment"), which have been shown to impact outcomes in a clinical context. We also investigated whether these interrelationships varied across treatment orientations (i
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Reducing suicidal ideation in African American adolescents: A randomized controlled clinical trial. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-09-28 W LaVome Robinson,Christopher R Whipple,Kate Keenan,Caleb E Flack,Sally Lemke,Leonard A Jason
OBJECTIVE Suicide rates among African American adolescents have increased exponentially in recent years. The socioecological stressors that can increase suicide risk for African American adolescents, in conjunction with unique suicide risk manifestations within this group, require culturally sensitive preventive interventions. This study examines the efficacy of the Adapted-Coping With Stress course
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Treatment for graduate students: Blunting the emotional toll of postgraduate education. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-09-21 Neema Prakash,Cecilia M Votta,Patricia J Deldin
OBJECTIVES Graduate students are at greater risk of developing mental health concerns than other adults in their age group. Despite the need for care within this population, there is a lack of literature on accessible interventions designed specifically to meet the needs of graduate students. The present study examines the efficacy of a novel intervention: Mood Lifters for Graduate Students (ML-GS)
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The role of therapy delivery and clinic organizational factors in explaining therapist effects for trauma-focused psychotherapies in the Veterans Health Administration. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-09-04 Nina A Sayer,Shannon Wiltsey Stirman,Craig S Rosen,Shannon Kehle-Forbes,Michele R Spoont,Afsoon Eftekhari,Kathleen M Chard,Adam Kaplan,David B Nelson
OBJECTIVE This study estimated the size of therapist effects (TEs) for dropout and clinical effectiveness of two trauma-focused psychotherapies (TFPs) and evaluated whether therapy delivery and clinic organizational factors explained observed TEs. METHOD Participants were 180 therapists (54.4% psychologists, 42.2% social workers) from 137 Veterans Health Administration facilities and 1,735 patients
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A framework for neurodiversity-affirming interventions for autistic individuals. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-09-01 Matthew D Lerner,Ava N Gurba,Dena L Gassner
Despite being targets of intervention practice and research for over 60 years, autistic people have been left out of the conversation. Until recently, nearly no research or implementation work has sought the input of autistic people in regard to the design of interventions and, more importantly, how the goals for such interventions are prioritized and determined. This reframe has profound implications
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Examining engagement effects in an adaptive preventive intervention for college student drinking. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-08-31 Megan E Patrick,Aparajita Sur,Brooke Arterberry,Sarah Peterson,Nicole Morrell,David M Vock
OBJECTIVE This study determined the characteristics of engagement and whether engagement in an adaptive preventive intervention (API) was associated with reduced binge drinking and alcohol-related consequences. METHOD Incoming students were recruited for a sequential multiple assignment randomized trial (SMART; N = 891, 62.4% female, 76.8% non-Hispanic White) with an assessment-only control group.
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Ground-up approach to understanding the impacts of historical trauma in one reserve-dwelling first nations community. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-08-31 Nicole H Weiss,Nichea S Spillane,Silvi C Goldstein,Reina Kiefer,Alexa M Raudales,Tessa Nalven,Alana Egan,Catherine D Trinh,Roland S Moore,Joseph P Gone
OBJECTIVE First Nations peoples experience disproportionate health inequities compared to most non-Indigenous populations. Historical trauma is one factor that has received growing attention in relation to health inequities among First Nations populations. The goal of the present study was to improve understanding of the specific forms, impacts, and mechanisms of transmission of events that lead to
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Evaluating the effectiveness of concurrent sessions and counselors' attention allocation in online counseling. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-08-24 Yucan Xu,Christian S Chan,Christy Tsang,Florence Cheung,Evangeline Chan,Paul S F Yip
OBJECTIVE With its anonymity and accessibility, text-based online counseling has shown great potential in reaching people with mental health needs. One strategy adopted to meet the service gap is concurrent counseling, that is, each counselor attending to more than one client at a time. To date, there is no reported evidence supporting its rationality and effectiveness. This study investigated the
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The prognostic role of emotion regulation dynamics in the treatment of major depressive disorder. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-08-24 Avigail Bar-Sella,Aviv Nof,Brian R Baucom,Pavel Goldstein,Sergei Romanov,Iryna Shpakouskaya,Dmitrii Kaplun,Sigal Zilcha-Mano
OBJECTIVE The potential prognostic role of emotion regulation in the treatment of major depressive disorder (MDD) has been highlighted by transtheoretical literature and supported by promising empirical findings. The majority of the literature is based on self-report observations at a single snapshot, thus little is known about the prognostic value of moment-to-moment dynamic evolvement of emotion
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Novel treatment based on acceptance and commitment therapy versus cognitive behavioral therapy for insomnia: A randomized comparative effectiveness trial in women veterans. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-08-03 Jennifer L Martin,Gwendolyn C Carlson,Monica R Kelly,Yeonsu Song,Michael N Mitchell,Karen R Josephson,Sarah Kate McGowan,Najwa C Culver,Morgan A Kay,Alexander J Erickson,Katie S Saldana,Kimiko J May,Lavinia Fiorentino,Cathy A Alessi,Donna L Washington,Elizabeth M Yano
OBJECTIVE This randomized comparative effectiveness trial evaluated a novel insomnia treatment using acceptance and commitment therapy (ACT) among women veterans. Participants received either the acceptance and the behavioral changes to treat insomnia (ABC-I) or cognitive behavioral therapy for insomnia (CBT-I). The primary objectives were to determine whether ABC-I was noninferior to CBT-I in improving
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Mediators of change in online mindfulness-based cognitive therapy: A secondary analysis of a randomized trial of mindful mood balance. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-08-01 Sona Dimidjian,Robert Gallop,Joseph Levy,Arne Beck,Zindel V Segal
OBJECTIVE Digital delivery of mindfulness-based cognitive therapy through the Mindful Mood Balance (MMB) program is clinically effective (Segal et al., 2020); however, the mechanisms through which this program delivers its benefits have not been established. METHOD This study investigates the differential impact of the MMB program paired with usual depression care (UDC) compared to UDC alone on the
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Treatment length and symptom improvement in prolonged exposure and present-centered therapy for posttraumatic stress disorder: Comparing dose-response and good-enough level models in two manualized interventions. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-07-20 Johanna Thompson-Hollands,Carole A Lunney,Denise M Sloan,Shannon Wiltsey Stirman,Paula P Schnurr
OBJECTIVE The dose-response model of change in psychotherapy posits that each session of therapy is incrementally beneficial across patients. The contrasting good-enough level model suggests that patients improve at different rates in therapy and discontinue treatment when they are satisfied with their improvement. Support for each theory has been mixed, and many prior studies have relied on samples
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Dynamic processes in behavioral activation therapy for anhedonic adolescents: Modeling common and patient-specific relations. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-06-05 Christian A Webb,Laura Murray,Anna O Tierney,Kathleen M Gates
OBJECTIVE Behavioral activation (BA) is a brief intervention for depression encouraging gradual and systematic re-engagement with rewarding activities and behaviors. Given this treatment focus, BA may be particularly beneficial for adolescents with prominent anhedonia, a predictor of poor treatment response and common residual symptom. We applied group iterative multiple model estimation (GIMME) to
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Interpersonal problems as a predictor of outcome in psychotherapy for depressive and anxiety disorders: A multilevel meta-analysis. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-06-01 Juan Martín Gómez Penedo,Christoph Flückiger
OBJECTIVE Although interpersonal problems are assumed to play an important role in the treatment of depression and anxiety, meta-analytic attempts to explore the association between interpersonal problems and outcome in psychotherapy for these patients are missing. This study aims to conduct a systematic review and meta-analytic synthesis of the association between patients' baseline interpersonal
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E-Connect: Linking probation youth at risk for suicide to behavioral health services. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-06-01 Katherine S Elkington,Gail A Wasserman,Margaret E Ryan,Corianna E Sichel,Casey Sarapas,Michael L Dennis,Faye S Taxman
OBJECTIVE Youth involved in the justice system (YIJ) have higher rates of suicidal thoughts and behaviors (STB) and associated behavioral health (BH) problems, yet lower levels of service use compared to youth in the general population. This study examined the efficacy of e-Connect, a digital clinical decision support system (CDSS), at improving STB risk identification, referral, and linkage to BH
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Immersive and reflective recall of a suicidal episode: Implications for assessing and treating suicidal adolescents. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-06-01 Abigail Zisk,Caroline H Abbott,E Stephanie Krauthamer Ewing,Megan Haley Fitter,Guy S Diamond,Roger Kobak
OBJECTIVE The present study tested the validity and clinical utility of adolescents' reports of two distinct modes of processing during the recall of a suicidal episode in the Suicide Narrative Interview (SNI). Recall Intensity (RI) items were designed to capture a tendency to become immersed in thoughts and feelings during the interview, while Meaning Making (MM) items were designed to assess more
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Sexual identity and race/ethnicity as predictors of treatment outcome and retention in dialectical behavior therapy. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-06-01 Cindy J Chang,Max A Halvorson,Keren Lehavot,Tracy L Simpson,Melanie S Harned
OBJECTIVE There is inconclusive evidence regarding sexual identity and race/ethnicity differences in outcomes in evidence-based psychological treatments. Although dialectical behavior therapy (DBT) is well-studied, little is known about the extent to which its efficacy generalizes to sexual minority and racial/ethnic minority people. This study examined sexual identity, race/ethnicity, and their interaction
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Self-compassion and fear of compassion in the treatment of chronic depression: Mechanisms of change? Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-05-25 Linne Melsom,Pål G Ulvenes,Ole André Solbakken,Patrick J Curran,Mikkel Eielsen,Bruce E Wampold
OBJECTIVE The aim of this naturalistic process study was to investigate the relationship between self-compassion, fear of compassion from others, and depressive symptoms over the course of psychotherapy in patients with chronic depression. METHOD A sample of 226 patients with chronic depression who received inpatient short-term psychodynamic psychotherapy (STPP) provided weekly self-report measures
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Peers, play, and performance to build social salience in autistic youth: A multisite randomized clinical trial. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-05-18 Blythe A Corbett,Susan White,Matthew Lerner,Kristopher J Preacher,Mark E Klemencic,Grace Lee Simmons,Jennifer Pilkington,Philip Gable,Ayla Gioia,Alexandra P Key
OBJECTIVE Individuals with autism spectrum disorder (ASD) have significant impairment in social competence and reduced social salience. SENSE Theatre, a peer-mediated, theater-based intervention has demonstrated posttreatment gains in face memory and social communication. The multisite randomized clinical trial compared the Experimental (EXP; SENSE Theatre) to an Active Control Condition (ACC; Tackling
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Therapeutic alliance is calming and curing-The interplay between alliance and emotion regulation as predictors of outcome in Internet-based treatments for adolescent depression. Journal of Consulting and Clinical Psychology (IF 4.5) Pub Date : 2023-05-11 Karin Lindqvist,Jakob Mechler,Fredrik Falkenström,Per Carlbring,Gerhard Andersson,Björn Philips
OBJECTIVE Therapeutic alliance is one of the most stable predictors of outcome in psychotherapy, regardless of theoretical orientation. The alliance-outcome relationship in internet-based treatments has been investigated with mixed results. There is preliminary evidence that emotion regulation can work as a mediator for the alliance-outcome relationship. The present study aimed to investigate whether